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Health Plan,State of Oregon

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Health Plan,State of Oregon DOCUMENT RESUME ED 080 843 CE 000 056 TITLE Comprehensive Health Plan,State of Oregon. INS1ITUTION Governor's Health PlanningCommittee, Portland, Oreg. PUB LATE Jan 71 NOTE 650p.; Published by HealthPlanning Section, Oregon State Executive Department EDRS PRICE MF-$0.65 HC-$23.03 DESCRIPTORS Disease Control; *Health; *Health Services; Mental Health Programs; Pollution; *Public Health; Sanitation; State Programs; *State Surveys; *Statewide Planning IDENTIFIERS *Oregon ABSTRACT After seeking data from public, private, and voluntary health-related agencies, associations, and activities in the State; the committee reports on the following areas: health delivery system problems, health services, target groups (aged, medically indigent, migrants, newborns, infants, preschool children, and school-age children), personal health problems (mental health, communicable disease, non-communicable disease), and environmental health problems. For each area the following factors are provided when applicable: title of study or problem area, goals, statement of condition/problem, current programs and activities, authorities, objectives, recommendations and methods, operational problems, evaluation criteria, and priorities/recommendations. The document also includes a five-section appendix, a section of charts and graphs (in addition to those in the body of the report), a matrix for reference to organizational responsibility for problems noted, an organization index, and a subject index. (AG) FILMED FROM BESTAVAILABLE CO STATE OF OREGON COMPREHENSIVE HEALTH. PLAN // U.S DEPARTMENT OF HEALTH, EDUCATION & WELFARE NATIONAL INSTITUTE OF EDUCATION THIS DOCUMENT HAS BEENREPRO OUCED EXACTLY AS RECEIVEDF ROM THE PERSON OR ORGANIZE I IONORIGIN MING IT POINTS OF VIEW OROPINIONS STATED DO NOT NECESSARILYREPRE SENT Of-FACIAL NATIONAL INSTITUTEOF EDUCATION POSITION OR POLICY Prepared by 'the EXECUTIVE DEPARTMENT Cleighton Penwell Director Program Planning Division John J. Lobdell Administrator Health Planning Section S. Charles Bocci Coordinator GOVERNOR'S HEALTH PLANNING COMMITTEE 421 S.W. OAK STREET PORTLAND, OREGON 97204 Phone 226-5541 TOM McCALL GOVERNOR January 27, 1971 LLOYD G. HAMMEL, JR. Chairman The Honorable Tom McCall Governor of the State of Oregon State Capitol Salem, Oregon 97310 Dear Governor McCall: On May 24, 1967, by Executive Order No. 67-14, in response to the "Partnership for Health Act of Congress", Public Law 89-749, you appointed the Governor's Health Planning Committee. You charged the Committee with responsibility to implement Oregon's partici- pation in the partnership for health legislation. The Emergency Board in October of 1967 approved a federal grant of $72,500 to hire staff and commence work on the planning process. Subsequently, federal and state funds were appropriated in the amount of approximately $258,500 to date. In June 1970 the Governor specifically challenged the. Committee to produce the nation's first State Comprehensive Health Plan by January of 1971. Despite what has been described as "nationwide uncertainty" as to what the parameters, processes, and format of comprehensive health planning are--and we in Oregon have struggled mightily with these questions--your Committee accepted the challenge. The difficulty of the task has been exceeded only by the enormity of the charge of continuous comprehensive health planning and the variety of problems in health which cry out for attention and solution. Should we_gather all available data on all health related problems into a health inforMation system; define the problems in terms of the data and develop solutions and plans. based upon such data? Or, should we accept the health problems the people believe to exist, propose solutions, and develop plans to address those problems and solutions? The absence of any data in some fields and the very skimpy and often- times unusable data in other areas of concern militated againgt an affirmative answer to the first question. The lack of objectivity and the general absence of scientific analysis implicit in a' positive answer to the second question cautioned the Committee against that as an ideal approach. However, your Committee chose the practical rather than the end- lessly idealistic in developing its solution.We chose to have confidence in a strongly "consumer oriented" and "grass roots" approach to the development of the Comprehensive Health Plan. We asked the people what they thought were the health problems in their area of the state. We fashioned the Plan toward solutions to those problems. The Plan is not complete. It will never be complete. The Plan is not up to date. It will never be up to date. Because the health needs and problems are dynamic, the Plan cannot be static. Because the health needs and problems ar.: changing, the data collected to describe them is continuously evolving: Your Committee submits this Comprehensive Health Plan for the State of Oregon as a viable document. The Plan represents the contributionsof hundreds of consumers, voluntary health associations, health professionals, public health and welfare agencies, health institutions, health insurance carriers, and a highly dedicated and professional staff which has worked tirelessly in preparing this document for publication. Your Committee is convinced that having distilled so much informa- tion and thought into this organized Plan for attacking selected health problems, that the job of planning comprehensively has truly begun. Now is not the time to relax or lessen the state's efforts. We urge your strongest support for increased effort and commitment on the part of the state to coordinate the implementation of the many recommendations included in the Plan. The Plan must continue to be objective in coordinating the health activities of not only state agencies, but those of the private and voluntary sectors as well. It is imperative that this continuous planning process be kept free of entanglements with state agencies involved in health services and responsibilities. In preparing the Plan we are indebted to a great many individuals, institutions, and associations who have assisted by submitting drafts of material and expressions of opinions. They have given unselfishly of their time and talent. While those whose names are enumerated hereinafter should bear no responsibility for statements or recommenda tions included in the Plan, without their contribution the staff and the Advisory Council would have been unable to produce this Plan. 4011! L D G. HAMMEL, JR./ Chairman, Comprehensive Health Planning Advisory Council COMPREHENSIVE HEALTH PLAN STATE OF OREGON EXECUTIVE DEPARTMENT PROGRAM PLANNING DIVISION HEALTH PLANNING SECTION January 1971 Olt Tom McCall Governor TABLE OF CONTENTS Governor's Health Planning Committee 8 Governor's Health Planning ad hoc Committees 9 Preface 10 Acknowledgements 12 Introduction 15 Report Format 24 Reports: HEALTH DELIVERY SYSTEM PROBLEMS Emergency Medical Services 31 Facilities 50 Health Information System 113 Health Manpower 117 Home Health Services 166 Organization and Financing for Local Public Health Services 194 Prices and Payments for Drugs and Medicines 205 Prepaid Health Care 208 HEALTH SERVICES Accidents Motor Vehicles 219 Consumer Protection and Injury Control 224 Family Planning 242 Nutrition 250 Pre and Post Natal Services for Women of Childbearing Age 263 Rehabilitation (Physical Disabilities) 268 TARGET GROUPS Aged 295 Medically Indigent 306 Migrants 324 Newborns, Infants, and Preschool Children 340 School-Age Children 350 PERSONAL HEALTH PROBLEMS Mental Health Mental Health 363 Alcoholism and Drug Abuse 379 Mental Retardation 408 Suicide 427 PERSONAL HEALTH PROBLEMS, '(Continued) Communicable Disease Hepatitis 437 Influenza 441 Rheumatic Fever 444 . Rubella 447 Syphilis and Gonorrhea 450 Tuberculosis 461 Non-Communicable Disease Allergic Diseases 471 Arthritis and Rheumatism 475 Birth Defects 479 Cancer 483 Cardiovascular Diseases 494 Cerebral Palsy 505 Chronic Bronchitis and Emphysema 510 Cystic Fibrosis 518 Dental Health 522 Diabetes Mellitus 535 Epilepsy 540 Multiple Sclerosis 548 Myasthenia Gravis 551 Serious Renal Disease 554 Speech and Hearing 562 ENVIRONMENTAL HEALTH PROBLEMS Air Quality 581 Drinking Water Supplies 585 Sewers ;and Subsurface Sewage Disposal Systems 590 Solid Waste-- 594 Vector _Control. 599 Water Quality 604 Appendix Executive Order 67-14 609 Organization Chart 612 Oregon's Comprehensive Health Planning Goals and Objectives 613 Planning Process 617 Classification of Health Problems 621 Charts and Graphs 627 Reference to Organizational Responsibility 655 Index by Organization 660 Index by Subject 663 GOVERNOR'S HEALTH PLANNING COMMITTEE MEMBERS Lloyd G. Hammel, Jr. - Chairman 1st Congressional District Portland, Oregon Marko Haggard - Vice Chairman State Ombudsman Salem, Oregon David Aguilar Mrs. Faye Lyday Director, Valley Migrant League Staff, Model Cities Jefferson, Oregon Portland, Oregon Zane Campbell Edwin Phillips Corporate Officer, Omark Industries Vice President, Standard Insurance 3rd Congressional District Portland, Oregon Portland, Oregon Kenneth Gayer, M.D. Edward Press, M.D. Administrator, Mental Health Division State Health Officer Salem, Oregon Portland, Oregon Robert Glosenger Donald Smith, D.M.D. Commissioner, Columbia County Private Practitioner St. Helens, Oregon 4th Congressional District Grants Pass, Oregon David Green John Tysell, M.D. Insurance Representative -Private Practitioner 2nd Congressional District Eugene, Oregon Madras, Oregon Charles Gustafson
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